‫به نام خداوند جان وخرد‬

Mediastinum
1- Sup. Mediastinum

2- Inf. Mediastinum

a- Ant.
b- Middle
c- Post.
 Contains of Sup. mediastinum
• Esophagus
• Trachea
• Thymus
• Thoracic duct
• Arch of aorta & Branches
• Sup. vena cava
• Barchiocephalic vv.
• Arch of azygus
• Phrenic nerves
• Vagus nerves
• Left recurrent laryngeal nerve
• Sympathetic trunk
• Int. thoracic as., vv.
• Sup. Intercostal vv.
 Contains of Ant. mediastinum

• Thymus
• Int. thoracic aa. &
vv.
• Sternopericardial lig.
• Lymphatic nodes
 Contains of Middle mediastinum

• Heart
• Pericardium
• Ascending aorta
• Sup. Vena cava
• Azygus
• Bronchi
• Pulmonary aa.
• Pulmonary vv.
• Phrenic nerves
• Bronchial lymphatic nodes
 Contains of post. mediastinum

• Esophagus
• Thoracic duct
• Vagus nerves
• Splanchnic nerves
• Sympathetic trunk
• Thoracic aorta
• Azygus v.
• Hemiazygus v.
 Contains of sup. & post. mediastinum

• Esophagus
• Thoracic duct
• Vagus nerves
• Sympathetic trunk
 Contains of Sup. & middle mediastinum

• Phrenic nerves
• Pericardiacophrenic aa.
 Contains of Sup. & ant. mediastinum

• Thymus
• Int. thoracic aa.
Surfaces:
Heart
1- Ant. (Sternocostal)
2- Inf. (Diaphragmatic)
3- Left pulmonary
4- Post. (Base)
Borders:
1- Right
2- Left
3- Inf.
4- Sup.
Apex
Coronary sulcus (groove)
Coronary artery
Coronary sinus
- Walls (med., lat., ant.,
post., sup., inf.)
Right atrium
- Auricle
- Pectinate muscle
-Crista terminalis
-- Sulcus terminalis
- Fossa ovalis
- Opening of

coronary
sinus
- Valve of inf. vena
cava (Eustachian
valve)
Circulatory system in embryonic period
Tricuspid valve
Ant. cusp
Post. cusp
Septal cusp
Right fibrous ring
Bicuspid Valve
(Mitral)
Ant. cusp
Post. cusp
Left fibrous ring
Mitre
Right ventricle
1- Anterosup. Wall
(Sternocostal)
2- Inf. wall
(Diaphragmatic)
3- Interventricular
wall
------------------------------
- Supraventricular
Crest
- Infundibulum
Trabeculae
Carneae
-----------------------------

1- Ridge
2- Bridge
Septomarginal trabecula
(Moderator band)

3- Papillary

m.
Chordae tendineae

Right ventricle
-Pulmonary veins
- Pectinate muscle
-Valve of foramen
ovale

Left atrium
 Left ventricle

Anterosup. Wall
(Sternocostal)
Inf. wall
(Diaphragmatic)
Aortic vestibule
Trabeculae charneae
Aortic valve Pulmonary valve
Palangan
Coronary aa.
Left coronary a.

1- Circumflex br.
- ant. ventricular br.
- post. ventricular br.
- Left marginal br.

2- Ant.
Interventricular
br. (2/3)
--------------------------------------
SA node (40% persons)
AV node (20% persons)
Right coronary a.

1- Right atrial brr.

2- Right marginal
brr.
3- Post.
Interventricular
br. (1/3)
-----------------------------
SA node (60% persons)
AV node (80% persons)
Coronary sinus
Cardiac veins
1- Great cardiac v.
2- Ant. Cardiac vv.
3- Small cardiac v.
4- Oblique v. of left atrium (Marshal)
5- Post. V. of left ventricle
6- Middle cardiac v.
6
4

3
2
1
5